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What a year 2009 was! The MHRA issued guidance trying to stop exporting. The NHS
Counter Fraud Service began investigating Specials. The Medicines Act was amended
to bring in a requirement for Responsible Pharmacists. The National Health Service Act
was amended to introduce as from next year a new control of entry test. But the most
prominent legal issues faced by pharmacists in 2009 were in the criminal courts.
First there was the Elizabeth Lee case. You will recall that after a dispensing error, Mrs
Lee, a locum, pleaded guilty to a labelling offence under the Medicines Act, and an Old
Bailey judge imposed a 3-month prison sentence which he suspended. In the furore that
followed, it was heartening to read in C&D towards the end of the year that, following the
suggestion I made in my June 2009 column, the Crown Prosecution Service will publish
Published
guidelines about whether and when to prosecute pharmacists.
Just when you might have felt it was safe to go back into the dispensary, Prestatyn
Magistrates waded in. A patient brought a prescription for Spironolactone to a pharmacy,
but was given Sertraline by mistake. The pharmacist and a dispenser were convicted of
supplying the wrong medicine in breach of section 64 of the Medicines Act. The
dispenser’s appeal to the High Court was dismissed, and a transcript of the court’s
reasons finally became available in December.
The dispenser’s barrister argued that the offence under section 64 could only be
committed by a company that owned a pharmacy owner or a pharmacist. He drew
attention to some sections of the Medicines Act that impose obligations on persons who
act in the course of a business that they are carrying on. Mr Justice Elias politely
described this as “a bold submission” that involved asking the court to pretend that
section 64 included words that were not there. The judge said there was “an obvious
public interest in ensuring that all those whose failings have led to the [supplying]
wrongly, of a product in this way, should be held accountable”. The judge went on to say
that the decision was not harsh and just because the pharmacist failed to carry out her
obligations, the dispenser who had selected the wrong product was also guilty of an
Section 85 of the Medicines Act also creates an offence, but only by a person who is
acting in the course of a business carried on by him. What does section 85 deal with?
Labelling. According to the law, the Prestatyn dispenser was guilty of an offence under
section 64, but the High Court ruling raises the question whether Elizabeth Lee was
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